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1.
J Neurosci ; 38(20): 4811-4828, 2018 05 16.
Article in English | MEDLINE | ID: mdl-29695414

ABSTRACT

Schwann cells (SCs) are endowed with a remarkable plasticity. When peripheral nerves are injured, SCs dedifferentiate and acquire new functions to coordinate nerve repair as so-called repair SCs. Subsequently, SCs redifferentiate to remyelinate regenerated axons. Given the similarities between SC dedifferentiation/redifferentiation in injured nerves and in demyelinating neuropathies, elucidating the signals involved in SC plasticity after nerve injury has potentially wider implications. c-Jun has emerged as a key transcription factor regulating SC dedifferentiation and the acquisition of repair SC features. However, the upstream pathways that control c-Jun activity after nerve injury are largely unknown. We report that the mTORC1 pathway is transiently but robustly reactivated in dedifferentiating SCs. By inducible genetic deletion of the functionally crucial mTORC1-subunit Raptor in mouse SCs (including male and female animals), we found that mTORC1 reactivation is necessary for proper myelin clearance, SC dedifferentiation, and consequently remyelination, without major alterations in the inflammatory response. In the absence of mTORC1 signaling, c-Jun failed to be upregulated correctly. Accordingly, a c-Jun binding motif was found to be enriched in promoters of genes with reduced expression in injured mutants. Furthermore, using cultured SCs, we found that mTORC1 is involved in c-Jun regulation by promoting its translation, possibly via the eIF4F-subunit eIF4A. These results provide evidence that proper c-Jun elevation after nerve injury involves also mTORC1-dependent post-transcriptional regulation to ensure timely dedifferentiation of SCs.SIGNIFICANCE STATEMENT A crucial evolutionary acquisition of vertebrates is the envelopment of axons in myelin sheaths produced by oligodendrocytes in the CNS and Schwann cells (SCs) in the PNS. When myelin is damaged, conduction of action potentials along axons slows down or is blocked, leading to debilitating diseases. Unlike oligodendrocytes, SCs have a high regenerative potential, granted by their remarkable plasticity. Thus, understanding the mechanisms underlying SC plasticity may uncover new therapeutic targets in nerve regeneration and demyelinating diseases. Our work reveals that reactivation of the mTORC1 pathway in SCs is essential for efficient SC dedifferentiation after nerve injury. Accordingly, modulating this signaling pathway might be of therapeutic relevance in peripheral nerve injury and other diseases.


Subject(s)
Cell Dedifferentiation , Peripheral Nerve Injuries/genetics , Peripheral Nerve Injuries/metabolism , Proto-Oncogene Proteins c-jun/biosynthesis , Schwann Cells , TOR Serine-Threonine Kinases/genetics , TOR Serine-Threonine Kinases/metabolism , Activation, Metabolic/genetics , Activation, Metabolic/physiology , Animals , Eukaryotic Initiation Factor-4F/genetics , Female , MAP Kinase Signaling System/genetics , Male , Mice , Mice, Knockout , Mutation/genetics , Myelin Sheath/metabolism , Proto-Oncogene Proteins c-jun/genetics , Rats , Rats, Sprague-Dawley , Regulatory-Associated Protein of mTOR/genetics , Signal Transduction/physiology
2.
J Cell Biol ; 217(4): 1353-1368, 2018 04 02.
Article in English | MEDLINE | ID: mdl-29434029

ABSTRACT

Myelination calls for a remarkable surge in cell metabolism to facilitate lipid and membrane production. Endogenous fatty acid (FA) synthesis represents a potentially critical process in myelinating glia. Using genetically modified mice, we show that Schwann cell (SC) intrinsic activity of the enzyme essential for de novo FA synthesis, fatty acid synthase (FASN), is crucial for precise lipid composition of peripheral nerves and fundamental for the correct onset of myelination and proper myelin growth. Upon FASN depletion in SCs, epineurial adipocytes undergo lipolysis, suggestive of a compensatory role. Mechanistically, we found that a lack of FASN in SCs leads to an impairment of the peroxisome proliferator-activated receptor (PPAR) γ-regulated transcriptional program. In agreement, defects in myelination of FASN-deficient SCs could be ameliorated by treatment with the PPARγ agonist rosiglitazone ex vivo and in vivo. Our results reveal that FASN-driven de novo FA synthesis in SCs is mandatory for myelination and identify lipogenic activation of the PPARγ transcriptional network as a putative downstream functional mediator.


Subject(s)
Fatty Acids/biosynthesis , Lipogenesis , Myelin Sheath/metabolism , Nerve Fibers, Myelinated/metabolism , Schwann Cells/metabolism , Sciatic Nerve/metabolism , Animals , Cells, Cultured , Fatty Acid Synthase, Type I/genetics , Fatty Acid Synthase, Type I/metabolism , Female , Lipogenesis/drug effects , Lipogenesis/genetics , Male , Mice, 129 Strain , Mice, Inbred C57BL , Mice, Inbred DBA , Mice, Knockout , Nerve Fibers, Myelinated/drug effects , PPAR gamma/agonists , PPAR gamma/metabolism , Rosiglitazone/pharmacology , Schwann Cells/drug effects , Sciatic Nerve/cytology , Sciatic Nerve/drug effects , Signal Transduction , Transcription, Genetic
3.
Elife ; 62017 09 07.
Article in English | MEDLINE | ID: mdl-28880149

ABSTRACT

Myelination is a biosynthetically demanding process in which mTORC1, the gatekeeper of anabolism, occupies a privileged regulatory position. We have shown previously that loss of mTORC1 function in Schwann cells (SCs) hampers myelination. Here, we genetically disrupted key inhibitory components upstream of mTORC1, TSC1 or PTEN, in mouse SC development, adult homeostasis, and nerve injury. Surprisingly, the resulting mTORC1 hyperactivity led to markedly delayed onset of both developmental myelination and remyelination after injury. However, if mTORC1 was hyperactivated after myelination onset, radial hypermyelination was observed. At early developmental stages, physiologically high PI3K-Akt-mTORC1 signaling suppresses expression of Krox20 (Egr2), the master regulator of PNS myelination. This effect is mediated by S6K and contributes to control mechanisms that keep SCs in a not-fully differentiated state to ensure proper timing of myelination initiation. An ensuing decline in mTORC1 activity is crucial to allow myelination to start, while remaining mTORC1 activity drives myelin growth.


Subject(s)
Myelin Sheath/metabolism , Peripheral Nervous System/cytology , Phosphatidylinositol 3-Kinases/metabolism , Proto-Oncogene Proteins c-akt/metabolism , Signal Transduction , Animals , Cell Differentiation , Cells, Cultured , Mechanistic Target of Rapamycin Complex 1/genetics , Mechanistic Target of Rapamycin Complex 1/metabolism , Mice , Mice, Inbred C57BL , Mice, Knockout , PTEN Phosphohydrolase/metabolism , Peripheral Nervous System/metabolism , Phosphatidylinositol 3-Kinases/genetics , Proto-Oncogene Proteins c-akt/genetics , Schwann Cells/metabolism , Tuberous Sclerosis Complex 1 Protein , Tumor Suppressor Proteins/metabolism
4.
Cell Rep ; 9(2): 646-60, 2014 Oct 23.
Article in English | MEDLINE | ID: mdl-25310982

ABSTRACT

Myelin formation during peripheral nervous system (PNS) development, and reformation after injury and in disease, requires multiple intrinsic and extrinsic signals. Akt/mTOR signaling has emerged as a major player involved, but the molecular mechanisms and downstream effectors are virtually unknown. Here, we have used Schwann-cell-specific conditional gene ablation of raptor and rictor, which encode essential components of the mTOR complexes 1 (mTORC1) and 2 (mTORC2), respectively, to demonstrate that mTORC1 controls PNS myelination during development. In this process, mTORC1 regulates lipid biosynthesis via sterol regulatory element-binding proteins (SREBPs). This course of action is mediated by the nuclear receptor RXRγ, which transcriptionally regulates SREBP1c downstream of mTORC1. Absence of mTORC1 causes delayed myelination initiation as well as hypomyelination, together with abnormal lipid composition and decreased nerve conduction velocity. Thus, we have identified the mTORC1-RXRγ-SREBP axis controlling lipid biosynthesis as a major contributor to proper peripheral nerve function.


Subject(s)
Multiprotein Complexes/metabolism , Myelin Sheath/metabolism , Peripheral Nervous System/metabolism , Retinoid X Receptor gamma/metabolism , Schwann Cells/metabolism , Sterol Regulatory Element Binding Protein 1/metabolism , TOR Serine-Threonine Kinases/metabolism , Adaptor Proteins, Signal Transducing/genetics , Adaptor Proteins, Signal Transducing/metabolism , Animals , Cells, Cultured , Lipids/biosynthesis , Mechanistic Target of Rapamycin Complex 1 , Mechanistic Target of Rapamycin Complex 2 , Mice , Multiprotein Complexes/genetics , Peripheral Nervous System/growth & development , Peripheral Nervous System/physiology , Regulatory-Associated Protein of mTOR , Sterol Regulatory Element Binding Protein 1/genetics , TOR Serine-Threonine Kinases/genetics
5.
J Neurosci ; 34(25): 8432-48, 2014 Jun 18.
Article in English | MEDLINE | ID: mdl-24948799

ABSTRACT

The mammalian target of rapamycin (mTOR) pathway integrates multiple signals and regulates crucial cell functions via the molecular complexes mTORC1 and mTORC2. These complexes are functionally dependent on their raptor (mTORC1) or rictor (mTORC2) subunits. mTOR has been associated with oligodendrocyte differentiation and myelination downstream of the PI3K/Akt pathway, but the functional contributions of individual complexes are largely unknown. We show, by oligodendrocyte-specific genetic deletion of Rptor and/or Rictor in the mouse, that CNS myelination is mainly dependent on mTORC1 function, with minor mTORC2 contributions. Myelin-associated lipogenesis and protein gene regulation are strongly reliant on mTORC1. We found that also oligodendrocyte-specific overactivation of mTORC1, via ablation of tuberous sclerosis complex 1 (TSC1), causes hypomyelination characterized by downregulation of Akt signaling and lipogenic pathways. Our data demonstrate that a delicately balanced regulation of mTORC1 activation and action in oligodendrocytes is essential for CNS myelination, which has practical overtones for understanding CNS myelin disorders.


Subject(s)
Multiprotein Complexes/metabolism , Nerve Fibers, Myelinated/metabolism , Oligodendroglia/metabolism , Spinal Cord/metabolism , TOR Serine-Threonine Kinases/metabolism , Animals , Central Nervous System/metabolism , Central Nervous System/pathology , Female , Male , Mechanistic Target of Rapamycin Complex 1 , Mice , Mice, Knockout , Mice, Transgenic , Nerve Fibers, Myelinated/pathology , Oligodendroglia/pathology , Spinal Cord/pathology
6.
Mol Cell Biol ; 33(19): 3749-61, 2013 Oct.
Article in English | MEDLINE | ID: mdl-23878394

ABSTRACT

One of the key mechanisms linking cell signaling and control of gene expression is reversible phosphorylation of transcription factors. FOXC2 is a forkhead transcription factor that is mutated in the human vascular disease lymphedema-distichiasis and plays an essential role in lymphatic vascular development. However, the mechanisms regulating FOXC2 transcriptional activity are not well understood. We report here that FOXC2 is phosphorylated on eight evolutionarily conserved proline-directed serine/threonine residues. Loss of phosphorylation at these sites triggers substantial changes in the FOXC2 transcriptional program. Through genome-wide location analysis in lymphatic endothelial cells, we demonstrate that the changes are due to selective inhibition of FOXC2 recruitment to chromatin. The extent of the inhibition varied between individual binding sites, suggesting a novel rheostat-like mechanism by which expression of specific genes can be differentially regulated by FOXC2 phosphorylation. Furthermore, unlike the wild-type protein, the phosphorylation-deficient mutant of FOXC2 failed to induce vascular remodeling in vivo. Collectively, our results point to the pivotal role of phosphorylation in the regulation of FOXC2-mediated transcription in lymphatic endothelial cells and underscore the importance of FOXC2 phosphorylation in vascular development.


Subject(s)
Endothelial Cells/metabolism , Forkhead Transcription Factors/genetics , Gene Expression Regulation , Transcription, Genetic/genetics , Amino Acid Sequence , Animals , Binding Sites/genetics , COS Cells , Cells, Cultured , Chlorocebus aethiops , Forkhead Transcription Factors/metabolism , HEK293 Cells , Hep G2 Cells , Humans , Immunoblotting , Mice , Mice, Transgenic , Microscopy, Confocal , Molecular Sequence Data , Mutation , Oligonucleotide Array Sequence Analysis , Phosphorylation , Proline/genetics , Proline/metabolism , Reverse Transcriptase Polymerase Chain Reaction , Serine/genetics , Serine/metabolism , Threonine/genetics , Threonine/metabolism
7.
Biochem Soc Trans ; 41(4): 944-50, 2013 Aug.
Article in English | MEDLINE | ID: mdl-23863161

ABSTRACT

Akt signalling has emerged as one of the major pathways involved in myelination, implicated in the regulation of several steps during the development of myelinating Schwann cells and oligodendrocytes. One of the main pathways intimately linked with Akt is mTOR [mammalian (or mechanistic) target of rapamycin] signalling. Recent evidence suggests that many processes attributed to the Akt pathway in myelination depend, at least partly, on mTOR signalling. In the present mini-review, we summarize the major aspects of Akt/mTOR signalling and myelination, and how they appear to be linked. We focus on the PNS (peripheral nervous system), but also cover the key points of CNS (central nervous system) myelination, pointing out differences and similarities between the PNS and the CNS.


Subject(s)
Myelin Sheath/metabolism , Proto-Oncogene Proteins c-akt/metabolism , Signal Transduction , TOR Serine-Threonine Kinases/metabolism , Humans , Oligodendroglia/metabolism , Schwann Cells/metabolism
9.
Genes Dev ; 24(9): 875-80, 2010 May.
Article in English | MEDLINE | ID: mdl-20439428

ABSTRACT

The Claudin-like protein of 24 kDa (CLP24) is a hypoxia-regulated transmembrane protein of unknown function. We show here that clp24 knockdown in Danio rerio and Xenopus laevis results in defective lymphatic development. Targeted disruption of Clp24 in mice led to enlarged lymphatic vessels having an abnormal smooth muscle cell coating. We also show that the Clp24(-/-) phenotype was further aggravated in the Vegfr2(+/LacZ) or Vegfr3(+/LacZ) backgrounds and that CLP24 interacts with vascular endothelial growth factor receptor-2 (VEGFR-2) and VEGFR-3 and attenuates the transcription factor CREB phosphorylation via these receptors. Our results indicate that CLP24 is a novel regulator of VEGFR-2 and VEGFR-3 signaling pathways and of normal lymphatic vessel structure.


Subject(s)
Lymphatic Vessels/embryology , Membrane Proteins/genetics , Membrane Proteins/metabolism , Signal Transduction/physiology , Vascular Endothelial Growth Factor Receptor-2/metabolism , Vascular Endothelial Growth Factor Receptor-3/metabolism , Xenopus Proteins/genetics , Xenopus Proteins/metabolism , Zebrafish Proteins/genetics , Zebrafish Proteins/metabolism , Animals , Cells, Cultured , Endothelial Cells/metabolism , Gene Expression Profiling , Gene Knockdown Techniques , Humans , Lymphatic Vessels/pathology , Mice , Myocytes, Smooth Muscle/pathology , Phosphorylation , Skin/cytology
10.
J Neurosci ; 30(19): 6763-75, 2010 May 12.
Article in English | MEDLINE | ID: mdl-20463238

ABSTRACT

Dicer is responsible for the generation of mature micro-RNAs (miRNAs) and loading them into RNA-induced silencing complex (RISC). RISC functions as a probe that targets mRNAs leading to translational suppression and mRNA degradation. Schwann cells (SCs) in the peripheral nervous system undergo remarkable differentiation both in morphology and gene expression patterns throughout lineage progression to myelinating and nonmyelinating phenotypes. Gene expression in SCs is particularly tightly regulated and critical for the organism, as highlighted by the fact that a 50% decrease or an increase to 150% of normal gene expression of some myelin proteins, like PMP22, results in peripheral neuropathies. Here, we selectively deleted Dicer and consequently gene expression regulation by mature miRNAs from Mus musculus SCs. Our results show that in the absence of Dicer, most SCs arrest at the promyelinating stage and fail to start forming myelin. At the molecular level, the promyelinating transcription factor Krox20 and several myelin proteins [including myelin associated glycoprotein (MAG) and PMP22] were strongly reduced in mutant sciatic nerves. In contrast, the myelination inhibitors SOX2, Notch1, and Hes1 were increased, providing an additional potential basis for impaired myelination. A minor fraction of SCs, with some peculiar differences between sensory and motor fibers, overcame the myelination block and formed unusually thin myelin, in line with observed impaired neuregulin and AKT signaling. Surprisingly, we also found signs of axonal degeneration in Dicer mutant mice. Thus, our data indicate that miRNAs critically regulate Schwann cell gene expression that is required for myelination and to maintain axons via axon-glia interactions.


Subject(s)
Axons/physiology , DEAD-box RNA Helicases/metabolism , Endoribonucleases/metabolism , MicroRNAs/metabolism , Myelin Sheath/physiology , Schwann Cells/physiology , Animals , Axons/ultrastructure , Basic Helix-Loop-Helix Transcription Factors/metabolism , Cell Differentiation/physiology , DEAD-box RNA Helicases/deficiency , DEAD-box RNA Helicases/genetics , Early Growth Response Protein 2/metabolism , Endoribonucleases/deficiency , Endoribonucleases/genetics , Homeodomain Proteins/metabolism , Mice , Mice, Knockout , Myelin Proteins/metabolism , Myelin Sheath/ultrastructure , Nerve Degeneration/metabolism , Receptor, Notch1/metabolism , Ribonuclease III , SOXB1 Transcription Factors/metabolism , Schwann Cells/ultrastructure , Sciatic Nerve/physiology , Sciatic Nerve/ultrastructure , Spinal Nerve Roots/physiology , Spinal Nerve Roots/ultrastructure , Transcription Factor HES-1 , Video Recording
11.
Blood ; 115(4): 906-9, 2010 Jan 28.
Article in English | MEDLINE | ID: mdl-19965622

ABSTRACT

The lymphatic vasculature is important for the regulation of tissue fluid homeostasis, immune response, and lipid absorption, and the development of in vitro models should allow for a better understanding of the mechanisms regulating lymphatic vascular growth, repair, and function. Here we report isolation and characterization of lymphatic endothelial cells from human intestine and show that intestinal lymphatic endothelial cells have a related but distinct gene expression profile from human dermal lymphatic endothelial cells. Furthermore, we identify liprin beta1, a member of the family of LAR transmembrane tyrosine phosphatase-interacting proteins, as highly expressed in intestinal lymphatic endothelial cells in vitro and lymphatic vasculature in vivo, and show that it plays an important role in the maintenance of lymphatic vessel integrity in Xenopus tadpoles.


Subject(s)
Adaptor Proteins, Signal Transducing/metabolism , Carrier Proteins/metabolism , Endothelial Cells/cytology , Intestinal Mucosa/cytology , Lymphatic Vessels/cytology , Xenopus Proteins/metabolism , Xenopus laevis/physiology , Animals , Carrier Proteins/genetics , Cells, Cultured , Dermis/cytology , Endothelial Cells/physiology , Gene Knockdown Techniques , Green Fluorescent Proteins/genetics , Humans , Intracellular Signaling Peptides and Proteins , Larva/physiology , Lymphangiogenesis/physiology , Lymphatic Vessels/physiology , Models, Animal , Organisms, Genetically Modified , Xenopus Proteins/genetics , Xenopus laevis/growth & development
12.
J Cell Biol ; 185(3): 439-57, 2009 May 04.
Article in English | MEDLINE | ID: mdl-19398761

ABSTRACT

The mechanisms of blood vessel maturation into distinct parts of the blood vasculature such as arteries, veins, and capillaries have been the subject of intense investigation over recent years. In contrast, our knowledge of lymphatic vessel maturation is still fragmentary. In this study, we provide a molecular and morphological characterization of the major steps in the maturation of the primary lymphatic capillary plexus into collecting lymphatic vessels during development and show that forkhead transcription factor Foxc2 controls this process. We further identify transcription factor NFATc1 as a novel regulator of lymphatic development and describe a previously unsuspected link between NFATc1 and Foxc2 in the regulation of lymphatic maturation. We also provide a genome-wide map of FOXC2-binding sites in lymphatic endothelial cells, identify a novel consensus FOXC2 sequence, and show that NFATc1 physically interacts with FOXC2-binding enhancers. As damage to collecting vessels is a major cause of lymphatic dysfunction in humans, our results suggest that FOXC2 and NFATc1 are potential targets for therapeutic intervention.


Subject(s)
Forkhead Transcription Factors/physiology , Lymphatic Vessels/physiology , NFATC Transcription Factors/physiology , Animals , Basement Membrane/physiology , Blood Vessels/physiology , Capillaries/physiology , Forkhead Transcription Factors/deficiency , Forkhead Transcription Factors/genetics , Heart Valves/physiology , Lymphatic Vessels/pathology , Mice , Mice, Knockout , Skin Physiological Phenomena
13.
Cancer Cell ; 13(5): 407-19, 2008 May.
Article in English | MEDLINE | ID: mdl-18455124

ABSTRACT

The Drosophila transcription factor Prospero functions as a tumor suppressor, and it has been suggested that the human counterpart of Prospero, PROX1, acts similarly in human cancers. However, we show here that PROX1 promotes dysplasia in colonic adenomas and colorectal cancer progression. PROX1 expression marks the transition from benign colon adenoma to carcinoma in situ, and its loss inhibits growth of human colorectal tumor xenografts and intestinal adenomas in Apc(min/+) mice, while its transgenic overexpression promotes colorectal tumorigenesis. Furthermore, in intestinal tumors PROX1 is a direct and dose-dependent target of the beta-catenin/TCF signaling pathway, responsible for the neoplastic transformation. Our data underscore the complexity of cancer pathogenesis and implicate PROX1 in malignant tumor progression through the regulation of cell polarity and adhesion.


Subject(s)
Adenoma/genetics , Colonic Neoplasms/genetics , Homeodomain Proteins/genetics , Tumor Suppressor Proteins/genetics , Adenoma/pathology , Carcinoma in Situ/genetics , Cell Line, Tumor , Colonic Neoplasms/pathology , Colorectal Neoplasms/genetics , Disease Progression , Gene Expression Profiling , Gene Expression Regulation, Neoplastic , Humans , Phenotype , beta Catenin/physiology
14.
Blood ; 105(12): 4642-8, 2005 Jun 15.
Article in English | MEDLINE | ID: mdl-15746084

ABSTRACT

Angiopoietin 1 (Ang1), a ligand for the receptor tyrosine kinase Tie2, regulates the formation and stabilization of the blood vessel network during embryogenesis. In adults, Ang1 is associated with blood vessel stabilization and recruitment of perivascular cells, whereas Ang2 acts to counter these actions. Recent results from gene-targeted mice have shown that Ang2 is also essential for the proper patterning of lymphatic vessels and that Ang1 can be substituted for this function. In order to characterize the effects of the angiopoietins on lymphatic vessels, we employed viral vectors for overexpression of Ang1 in adult mouse tissues. We found that Ang1 activated lymphatic vessel endothelial proliferation, vessel enlargement, and generation of long endothelial cell filopodia that eventually fused, leading to new sprouts and vessel development. Cutaneous lymphatic hyperplasia was also detected in transgenic mice expressing Ang1 in the basal epidermal cells. Tie2 was expressed in the lymphatic endothelial cells and Ang1 stimulation of these cells resulted in up-regulation of vascular endothelial growth factor receptor 3 (VEGFR-3). Furthermore, a soluble form of VEGFR-3 inhibited the observed lymphatic sprouting. Our results reinforce the concept that Ang1 therapy may be useful in settings of tissue edema.


Subject(s)
Angiopoietin-1/physiology , Endothelium, Vascular/cytology , Hyperplasia/pathology , Lymphatic System/physiology , Neovascularization, Physiologic , Adenoviridae/genetics , Animals , Blotting, Northern , Cell Proliferation , Cells, Cultured , Cloning, Molecular , Dermis/metabolism , Edema , Endothelium/cytology , Epidermal Cells , Genetic Vectors , Humans , Immunohistochemistry , Mice , Mice, Transgenic , Microscopy, Fluorescence , Protein Structure, Tertiary , Receptor, TIE-2/metabolism , Recombinant Fusion Proteins/metabolism , Signal Transduction , Up-Regulation , Vascular Endothelial Growth Factor Receptor-3/metabolism
15.
Nat Med ; 10(9): 974-81, 2004 Sep.
Article in English | MEDLINE | ID: mdl-15322537

ABSTRACT

Lymphatic vessels are essential for the removal of interstitial fluid and prevention of tissue edema. Lymphatic capillaries lack associated mural cells, and collecting lymphatic vessels have valves, which prevent lymph backflow. In lymphedema-distichiasis (LD), lymphatic vessel function fails because of mutations affecting the forkhead transcription factor FOXC2. We report that Foxc2(-/-) mice show abnormal lymphatic vascular patterning, increased pericyte investment of lymphatic vessels, agenesis of valves and lymphatic dysfunction. In addition, an abnormally large proportion of skin lymphatic vessels was covered with smooth muscle cells in individuals with LD and in mice heterozygous for Foxc2 and for the gene encoding lymphatic endothelial receptor, Vegfr3 (also known as Flt4). Our data show that Foxc2 is essential for the morphogenesis of lymphatic valves and the establishment of a pericyte-free lymphatic capillary network and that it cooperates with Vegfr3 in the latter process. Our results indicate that an abnormal interaction between the lymphatic endothelial cells and pericytes, as well as valve defects, underlie the pathogenesis of LD.


Subject(s)
DNA-Binding Proteins/genetics , Lymphangiogenesis/genetics , Lymphatic Abnormalities/pathology , Lymphatic Vessels/pathology , Lymphedema/pathology , Transcription Factors/genetics , Animals , Blotting, Northern , Cells, Cultured , DNA-Binding Proteins/metabolism , Disease Models, Animal , Evans Blue , Forkhead Transcription Factors , Humans , Immunohistochemistry , In Situ Hybridization , Lymphatic Abnormalities/genetics , Lymphedema/genetics , Mice , Mice, Mutant Strains , Microscopy, Fluorescence , Mutation/genetics , Pericytes/pathology , RNA/genetics , Transcription Factors/metabolism , Vascular Endothelial Growth Factor Receptor-3/metabolism
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